The nurse is caring for a client newly diagnosed with hypertension. Which statement by the client indicates the need for further teaching?

"If I take my blood pressure and it is normal, I don't have to take my blood pressure pills."

"When getting up from bed, I will sit for a short period before standing up."

"I will consult a dietician to help get my weight under control."

"I think I'm going to sign up for a yoga class twice a week to help reduce my stress."

Answer and Explanation

The Correct Answer is A

A. "If I take my blood pressure and it is normal, I don't have to take my blood pressure pills": This statement reflects a misunderstanding of hypertension management. Blood pressure medications are typically prescribed to help control blood pressure over the long term, regardless of individual blood pressure readings. Stopping medication without consulting a healthcare provider can be dangerous and is not recommended.

B. "When getting up from bed, I will sit for a short period before standing up": This statement demonstrates an understanding of orthostatic hypotension prevention, which is important for clients with hypertension and can be a side effect of certain medications.

C. "I will consult a dietician to help get my weight under control": This statement indicates the client's awareness of the importance of weight management in hypertension control and is a positive step toward healthy lifestyle changes.

D. "I think I'm going to sign up for a yoga class twice a week to help reduce my stress": This statement shows the client's proactive approach to stress reduction, which is beneficial for hypertension management as stress can contribute to elevated blood pressure.

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Correct Answer is C

Explanation

A. Weigh yourself once a week:

This is an important part of heart failure management as weight gain can indicate fluid retention, a common symptom of heart failure. The nurse should instruct the client to weigh themselves at the same time of day, using the same scale, and wearing similar clothing each time. Any sudden weight gain should be reported to the healthcare provider promptly.

B. Drink 3 liters of fluid per day:

This option is not appropriate for most heart failure patients, especially those with fluid retention issues. Fluid intake should be monitored and restricted based on the individual's condition and healthcare provider's recommendations. Consuming too much fluid can exacerbate fluid retention and worsen heart failure symptoms.

C. Engage in exercise daily:

Exercise is generally recommended for heart failure patients, but the type, intensity, and frequency of exercise should be tailored to the individual's condition. The nurse should encourage the client to engage in regular physical activity as tolerated, following a structured exercise plan approved by their healthcare provider. Activities like walking, cycling, or water aerobics can be beneficial for heart health.

D. Restrict dietary potassium:

This option is not typically included in lifestyle modifications for heart failure unless the client has specific potassium-related issues or is taking medications that require potassium restriction. Potassium is an important electrolyte for heart function, and most heart failure patients are advised to consume a balanced diet with moderate potassium intake, unless otherwise directed by their healthcare provider.

Correct Answer is ["125"]

Explanation

To calculate the infusion rate in mL/hr, you can use the formula:

Infusion rate (mL/hr) = Total volume (mL) / Total time (hr)

In this case, the total volume is 1000 mL and the total time is 8 hours.

Infusion rate = 1000 mL / 8 hr

Infusion rate ≈ 125 mL/hr

The nurse should set the IV pump to deliver approximately 125 mL/hr.

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The nurse is caring for a client newly diagnosed with hypertension. Which statement by the client indicates the need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching a client about lifestyle modifications after a heart failure diagnosis. What will be included in the teaching?

Correct Answer is C

Explanation

A nurse is preparing to administer 0.9% sodium chloride 1,000 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many ml/hr? Round to the nearestwholenumber.

Correct Answer is ["125"]

Explanation

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